中药联合针刺治疗感音神经性聋的效果［摘要］目的观察中药联合针刺治疗感音神经性聋的临床效果。方法将2013年3月〜2014年12月在天津中医药大学第一附属医院耳鼻喉科门诊就诊的120例感音神经性聋患者依据随机数字表法分为观察组和对照组，各60例。观察组采用辨证口服中药加针刺治疗，中医辨证包括风热侵袭型、肝火上扰型、痰火郁结型、气滞血瘀型、肾精亏损型、气血亏虚型，分别选用银翘散加减、龙胆泻肝汤加减、清气化痰丸加减、通窍活血汤加减、耳聋左慈丸加减、归脾汤加减，针刺穴取百会、四神聪、耳门、听宫、听会、醫风、风池、完骨、天柱等，中药2次/d,针刺1次/d,12d为1个疗程；对照组仅采用辨证口服中药治疗，2次/d,12d为1个疗程。治疗2个疗程后，观察两组疗效及不良反应情况。结果观察组总有效率为88.33%,对照组总有效率为68.33%,差异有统计学意义(P<0.05)。观察组出现1例针刺不良反应。结论中药联合针刺治疗感音神经性聋的效果优于单一应用中药口服治疗，且不良反应发生率低。［关键词］中药；针刺；感音神经性聋［中图分类号］R764.43［文献标识码］A［文章编号］1673-7210(2016)04(a)-0088-04［Abstract］ObjectiveToobserveclinicaleffectofherbalmedicinecombinedwithacupunctureinthetreatmentofsensorineuralhearingloss・Methods120patientswithsensorineuralhearinglossinDepartmentofENTintheFirstHospitalAffi1iatedtoTianjinUniversityofTraditionalChineseMedicinefromMarch2013toDecember2014weredividedintoobservationgroupandcontrolgroupaccordingtorandomnumbertablemethod,eachgrouphad60cases.Observationgroupweretreatedwithherbalmedicineandacupuncture.Thetreatmentwithherbalmedicinebasedonsyndromedifferentiationofwindheatinvasion,liverfire,phlegmfirestagnation,qistagnationandbloodstasistype,deficiencyofkidneyessencetype,qiandblooddeficiencytype.卩rescriptionwasrespectivelyselectedYinqiaoPowder,LongdanXieganDecoction,QingqiIluatanPills,TongqiaoIluoxueDecoction,ErlongZuociPills,GuipiDecoctionadditionandsubtraction.TheacupuncturepointsineludedBaihui,Sishencong,Ermen,Tinggong,Tinghui,Yifeng,Fengchi,Wangu,Tianzhu,etc.Thetreatmentwith2timesadayforherbalmedicineand1timeadayforacupuncture,and12dayswas1courseoftreatmentsHerbalmedicinetreatmentonlywasusedincontrolgroup・12dayswas1courseoftreatmentwith2timesaday.Efficacyandadversereactionbetweentwogroupswereobservedafter2coursesoftreatment.ResuItsTotaleffectiverateofobservationgroupandcontrolgroupwasrespectively88.33%and68.33%,withstatisticaldifferenee(P<0.05)•Observationgrouphad1caseofacupunctureadversereaction.ConclusionEffectofherbalmedicinecombinedwithacupunctureinthetreatmentofsensorineuralhearinglossisbetterthanthatsingleapplicationwithherbalhedicine,withlowerincidencerateofadversereactions.[Keywords]Herbalmedicine；Acupuncture；Sensorineuralhearingloss感音神经性聋是指内耳听毛细胞、血管纹、螺旋神经节、听神经或听觉中枢器质性病变而阻碍声音的感受与分析或影响声信息传递，所引起的听力减退或听力丧失，相当于祖国医学“耳聋”范畴。临床表现以患者听力减退甚至消失为主，常自觉耳中鸣响，严重时可有眩晕、耳内闭塞感等。感音神经性聋是耳鼻喉科常见病、多发病，WHO调查全球听力残疾人数资料显示，近年来其发病率呈增高趋势[1],给人们的生活、工作、学习等带来诸多不便，严重影响人们的生存质量。目前，临床多采用综合疗法治疗。本文主耍选取天津中医药大学第一附属医院（以下简称“我院”）耳鼻喉科收治的感音神经性聋患者，观察中药联合针刺的治疗效果。2.1两组疗效比较120例患者均无剔除、脱落情况。观察组总有效率明显高于对照组，差异有高度统计学意义（P<0.01）o见表1。2.2不良反应情况观察组出现1例晕针，晕针患者因针刺治疗前未进食早餐，于上午针刺后出现轻度头晕，立即停止...